Telestroke Alaska Evidence Based Care Across the Great Frontier
|
|
- Meagan Banks
- 5 years ago
- Views:
Transcription
1 Telestroke Alaska Evidence Based Care Across the Great Frontier Presented by Dr. Christie Artuso Director, Neuroscience Services Providence Alaska Medical Center 1
2 2
3 Financial Disclosures I am a speaker for Genentech through the Activase Speaker s Bureau. I am a faculty member at the University of Phoenix facilitating graduate and undergraduate coursework in the Healthcare Sciences Division. I have no financial disclosures related to this presentation for the Northwest Regional Telehealth Resource Center 3
4 Learning Outcomes Define telemedicine as a technology used to deliver evidence-based care for patients with an acute focal neurologic deficit. Identify three outcomes associated with the use of telemedicine to deliver care in rural settings Identify three challenges faced when initiating a telemedicine program for both hub (central support) and spoke (recipient) of services 4
5 History of Technology Years it took to reach a market audience of 50 million: Radio 38 years.. Television 13 years.. Internet 4 years. Ipod 3 years Facebook 2 years.. 5
6 The Growth of Technology.. The number of internet devices in 1984 was about 1,000.. The number of internet devices in 1994 was about 1,000,000 The number of internet devices in 2008 was about 1,000,000,000.. According to Forbes (2012) 8.7 billion 6
7 The Future of Healthcare? Nationally, the top ten In-demand jobs in 2010 did not exist in 2004 We are currently preparing children for jobs that don t yet exist Using technologies that have yet to be invented In order to solve problems that we don t yet know about.. 7
8 Technology s Role.. Technology continues to advance and facilitate improved quality in the delivery of healthcare in a dynamic and complex environment. 8
9 Telemedicine defined. The use of telecommunication and information technology to medical information and services Store and forward Remote monitoring Real-time interactive (video/audio) 9
10 Clinical Transformation Mobile technologies Mature electronic health records [EHR] Clinical decision support systems Continuous telemedicine / telehealth monitoring Shortages of medical specialists Increased complexity of care as population ages 10
11 Why Stroke? Telestroke 2005 American Stroke Association developed Stroke Systems of Care emphasizing linkages rather than silos Coordinated approach Improve access to highly skilled care & services 30% incidence of mis-diagnosis? Implement latest evidence-based guidelines Early intervention 11
12 Why Alaska? 586,412 square miles distance, cost of transport Geographic barriers, extreme weather, vast distances Population 722,718 (40% in Anchorage) 31 healthcare facilities [3 largest in Anchorage] ; 11 community hospitals; 13 critical access hospitals; 7 specialty or military hospitals 25% of Alaskans live in communities of < 1000 people 75% Alaskan communities not connected by roads to a hospital 12
13 Understanding Alaska. 13
14 Geographic Penalties The quality of stroke care is dependent upon the hospital that you go to If you live in a rural area or underserved acute stroke care area you will NEVER receive the only FDA approved pharmaceutical agent for treating stroke There is a GEOGRAPHIC penalty associated with stroke outcomes.. 14
15 Why Stroke in Alaska? Stroke death rate is 6% higher than national averages National death rate is decreasing yet the Alaska death rate stays the same Higher smoking 22% Higher overweight / obesity 63% Higher rate of elevated 31% 15
16 Barriers associated with Telemedicine? Defining the specialty Licensure and liability Developing policies recognizing privacy and security Simplifying the process (actual consult) Sustainability financial models 16
17 Advantages Access to care Decreased transportation costs Improved care decisions Access to specialists E-consultation / telestroke / teletrauma / telepsychiatry Improved quality improved patient outcomes Monitoring E-consultation with recommendation Education and training Access to conferences / expert consultation 17
18 Outcomes? End 2007 over 12 telestroke programs in Europe 18 Hub hospitals & 77 spoke hospitals 20,000 patients evaluated 2200 telestroke consults per year 18% systemic thrombolysis 2006 World Health Organization Helsingborg Declaration on European Stroke Strategies Access to continuum of care Acute stroke units Rehabilitation Secondary prevention 18
19 Disadvantages Lack of resources High infrastructure costs Rapid evolution of technology Licensure / credentialing Reliability Changing infrastructure and technology Rural communities Available bandwidth Trust / distrust Perception of concept Responsibility vs. accountability Legal limitations 19
20 Project Framework: 1. What are the essential components of a state-wide Stroke Center of Excellence? 2. What are the essential components of a telemedicine stroke program? 3. Which hospitals in the State of Alaska have the capability to transmit and receive the internet signals necessary for remote telemedicine support? 4. What hardware and software requirements are necessary? 5. What financial support will be required? 20
21 What are the essential components of a state-wide Stroke Center of Excellence? Provision of full range of services for all or most of the population in a community Support for evidence-based care Clinical consultation for evaluation, triage and transfer Provision of required diagnostic tests and treatment Public education Risk factors Primary prevention 21
22 What are the essential components of a telemedicine stroke program? Resources to support infrastructure Two way audio-video with reliable connectivity 24 hour qualified physician (specialist) support at the Hub CT scan at spoke (based on hub / spoke model) Appropriate provider(s) / telepresenter at spoke 22
23 Current Applications Hub and Spoke Model of Care 23
24 Which hospitals in the State of Alaska have the capability to transmit and receive the internet signals necessary for remote telemedicine support? Analysis of hospitals throughout the State of Alaska asking the following: Location Internet access / type DICOM Compatible CT Scanner Number of inpatient beds Estimated emergency department visits per year Approximate number of patients with stroke per year (based on national statistics) 24
25 Primary Spoke Hospitals Bartlett Regional Hospital Juneau, AK [55 beds] Providence Kodiak Island Medical Center Kodiak Island, AK [CAH - 22 beds] Providence Seward Medical and Care Center Seward, AK [CAH - 12 beds] Central Peninsula General Hospital Soldotna, AK [70 beds] Providence Valdez Medical Center Valdez, AK Providence Alaska Medical Center Anchorage, AK (Hub) [CAH 4 beds] 25
26 26
27 What hardware and software requirements are necessary? Type of internet connection wireless vs. wired? High definition camera with accessible software Laptop vs. mobile computer station Tech support Electronic records DICOM image sharing Remote PACS 27
28 Infrastructure? Fiber Optic Lines connecting some communities Wireless / web-based access in towns often DSL or dial-up? Bandwidth Portable vs. wired? Technical support? Travel and education? Receptiveness 28
29 Options eicu in process not available yet Wireless cart (REACH Health, Inc.) Robot (RP-7) In Touch PolyCom / Global Med hardware only Homegrown? 29
30 What financial support will be required? Cost of technology and connectivity Costs of education and training Costs associated with hardware maintenance and replacement Estimated cost for a three-year program launch in Alaska ~ $995,000 not including physician fees, patient transport or direct medical costs. 30
31 Financial Planning You may not get what you want but often you get what you measure! Revenue model Show clear revenue management Cost saving model Show the benchmark and a method to clearly measure the savings Strategic model Show a way to measure strategic contribution 31
32 Current Technologies 32
33 Technology s Impact on the Healthcare System. Clinical information systems [Electronic Medical Records] Computer-chip based clinical monitoring devices Advanced applications with remote, wired and wireless communication devices [telemedicine; eicu] Clinical decision support software [ImPACT] [eicu] 33
34 Implications Impact on nursing / medical practice Change in how we deliver medical care Change in what we expect from the healthcare system Changes in community perceptions Changes in provider / nurse / patient relationship 34
35 Developing a Program Establishing the vision and align with organization s vision and mission Assess the community(ies) [gather data] Define program objectives Survey infrastructure Identify needs ($$$$, technology, support) Develop success metrics Measure outcomes 35
36 Establishing a Vision Critical Questions Where do you want to go? How will the journey affect your objectives? How is your vision for the telemedicine program aligned with your organization s overall vision? Is your program objective the same as the organization s objective for the program? 36
37 Vision Providence Health & Services, Alaska As People of Providence we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. Neuroscience Service Line Recognized as Alaska s premier Neuroscience Center of Excellence providing collaborative services designed to meet the needs of the state. Telestroke Program To provide collaborative evidence-based stroke care that meets the needs of Alaskans 37
38 Program Objectives Identify 7 potential spoke sites in Alaska Build relationships with staff / leaders in those organizations Implement telemedicine (stroke) at 7 sites Maintain robust support Identify subsequent sites for implementation Reevaluate utilization and cost at 24 months Develop ongoing plan for additional telemedicine utilization / implementation 38
39 Assessing the Community What needs would the program meet in the community? What services would be provided? Who would use the service? What technology is available? What type of connectivity would be effective and reliable? 39
40 Impact on Providers and Nursing Plan and Assure Effective Training Workflow Delivery of patient care Education Expectations Are you the champion? 40
41 Impact on Patient Outcomes Ask appropriate questions What were the objectives of the program Did the program develop the infrastructure necessary to achieve the goals Was appropriate education provided What outcomes are expected How will you measure the outcomes 41
42 Steps to Success Clearly define the objectives of the program Align program objectives with organization s objectives Outline the results / outcomes that you hope to accomplish Short and long term goals with metrics Maximize utilization Frequent use = competency 42
43 43
44 HUB - Challenges Relationships? Infrastructure IT resources Biomed resources Partnerships with telecommunications companies Education Alignment / support Troubleshooting 44
45 SPOKE - Challenges Trust - distrust Alignment / support Education Frequency of use Troubleshooting Infrastructure IT Resources Biomed resources 45
46 Outcomes? Successful implementation in 6 locations Continued increase in referrals from these sites Decreased unnecessary transportation Improved tpa treatment in State of Alaska to 4.7 percent (national average 2-3%) Improved identification of stroke at spoke hospitals Implemented eicu at 2 sites 46
47 Future strategies? Alaska Collaborative for Telehealth and Telemedicine (ACTT) Alaska region initiative related to telehealth / telemedicine Providence Health Services system wide initiative related to outreach with subdivision for telehealth / telemedicine Robust evaluation of systems, reimbursement, infrastructure, resources, community needs 47
48 Summary Telemedicine will be a rapidly growing strategy for the delivery of healthcare throughout the United States and global communities. Through technology, access to specialized and acute care services will improve, the overall health of communities will improve and the way we deliver healthcare will change. 48
49 Questions? Dr. Christie Artuso Director, Neuroscience Services Providence Alaska Medical Center (907)
50 50
WHITE PAPER #2: CASE STUDY ON FRONTIER TELEHEALTH
WHITE PAPER #2: CASE STUDY ON FRONTIER TELEHEALTH I. CURRENT LEGISLATION AND REGULATIONS Telehealth technology has the potential to improve access to a broader range of health care services in rural and
More informationDiving Into Telemedicine: Adventist Health s Virtual Care Network. Tuesday, July 25, 2017
Diving Into Telemedicine: Adventist Health s Virtual Care Network Tuesday, July 25, 2017 Diving Into Telemedicine with Adventist Health Featured Presenters Dan McCafferty V.P. of Global Sales & Corporate
More informationCenter for Health and Technology Telehealth Education Program. Executive Overview
Executive Overview 1. Technology-Enabled Health Understand the rationale for the use of advanced IT in healthcare Identify elements of a technology-enabled health care system Learn of the legal, regulatory
More informationIntegration of a Standardized Scalable Solution for Video Telemedicine into the Traditional Practice Model
Integration of a Standardized Scalable Solution for Video Telemedicine into the Traditional Practice Model Stacia Lynch gptrac Regional Forum 2014 April 3, 2014 2014 MFMER slide-1 Mayo Clinic in Minnesota
More informationKeeping Your Compliance Program in Pace with Rapidly Expanding TeleHealth Services
Keeping Your Compliance Program in Pace with Rapidly Expanding TeleHealth Services In April 1924, an imaginative cover for the magazine Radio News foreshadowed telemedicine in its depiction of a "radio
More informationTelehealth 101: Key Concepts for Starting and Sustaining
Telehealth 101: Key Concepts for Starting and Sustaining Telehealth 101 Danielle Louder Program Director NETRC, MCD Public Health Andrew Solomon, MPH Project Manager NETRC Nina Antoniotti, PhD, MBA, RN
More informationTelehealth: An Introduction to Implementation and Policy Considerations. Angela Evatt, M.A., M.P.P
Telehealth: An Introduction to Implementation and Policy Considerations Angela Evatt, M.A., M.P.P Overview What is telehealth, how can it be used in care delivery, and what does it aim to accomplish? Value
More informationGeorgia Regents University: Evolution of One of the Country s Longest-Running Telestroke Programs
Telemedicine Case Study Georgia Regents University: Evolution of One of the Country s Longest-Running Telestroke Programs Successes and Future Plans Each year, close to 800,000 people in the U.S. suffer
More information3/27/2017. Historical Perspective. Innovative Model of Healthcare Delivery Using Telemedicine
Innovative Model of Healthcare Delivery Using Telemedicine Vinita Kamath MS RDN MHA Clinical Director, Nutrition Therapy Cincinnati Children s Hospital Medical Center CNM Conference March 20, 2017 Outline
More informationDriving Business Value for Healthcare Through Unified Communications
Driving Business Value for Healthcare Through Unified Communications Even the healthcare sector is turning to technology to take a 'connected' approach, as organizations align technology and operational
More informationTelehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation
Telehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation Integrated Leadership Panel Members Nicole Quesada Director of Training and Outreach Kathy J. Chorba Executive
More informationClinical Applications
Clinical Applications Ronald S. Weinstein, M.D. Director, Arizona Telemedicine Program Success factors Barriers Success factors Barriers to success 1 Tele-urgent Services 1. Teleradiology 2. Telecardiology
More informationEmerging Telehealth Environment in the State of Hawai`i
Emerging Telehealth Environment in the State of Hawai`i Pacific Telecommunication Council PTC 17 Christina Higa, Co-Director, PBTRC, University of Hawai`i January 15, 2017 Information & Communication Technologies
More informationTelehealth in Alaska. Cindy Roleff, MS, BSN, RN-BC Telehealth Program Development Manager AFHCAN / ANTHC
Telehealth in Alaska Cindy Roleff, MS, BSN, RN-BC Telehealth Program Development Manager AFHCAN / ANTHC Why Telehealth? Patient Empowers them with additional choices Satisfaction Decreases disparities
More informationTele-urgent Services
Ronald S. Weinstein, M.D. Director, Arizona Telemedicine Program Success factors Barriers Success factors Barriers to success 1 5. eicu (e Intensive Care Unit) 5. eicu (e Intensive Care Unit) 2 Teleradiology
More informationElliott Wilson Manager, Telehealth and Mobility Programs
Elliott Wilson Manager, Telehealth and Mobility Programs 856-248-6575 exwilson@virtua.org THE TELEHEALTH JOURNEY Challenges and Opportunity Across the Continuum Agenda and Objectives Overview of Virtua
More informationTelehealth. Clinical Applications 6/28/2011 TELEHEALTH UPDATE: MONTANA AND BEYOND
TELEHEALTH UPDATE: MONTANA AND BEYOND Telehealth Telehealth is the delivery of healthrelated services via telecommunications technologies Clinical Applications Allergy Cardiology * Dermatology Oncology
More information2017 TexLa Telemedicine Industry Benchmark Survey
April 2017 During December 2016 and January 2017, REACH Health conducted the 2017 U.S. Telemedicine Industry Benchmark Survey (co-promoted by the TexLa Telehealth Resource Center), among healthcare executives,
More informationLegal Issues You Should Know April 25, 2018 In-House Counsel Conference
1 TELEMEDICINE Legal Issues You Should Know April 25, 2018 In-House Counsel Conference Disclaimer: These materials and presentation are intended to be a general and brief summary of the law. This is not
More informationEvolution of Telehealth Use Cases and Care Settings
Evolution of Telehealth Use Cases and Care Settings July 2017 Written by Alex Green Telehealth is no longer limited to providing patients with ondemand video consultations from home or remotely managing
More information19/09/2017. Telehealth Legal and Regulatory Issues in Colorado and Beyond. Nathaniel Lacktman, October 2017
Telehealth Legal and Regulatory Issues in Colorado and Beyond Nathaniel Lacktman, Esq. @Lacktman October 2017 1 2 1 Licensing 3 Licensing Physician offering care via telemedicine is subject to licensure
More informationMaryland. Center for Connected Health Policy. Medicaid Program: MD Medical Assistance Program. Program Administrator: MD Dept. of Social Services
Maryland Medicaid Program: MD Medical Assistance Program Program Administrator: MD Dept. of Social Services Regional Telehealth Resource Center Mid-Atlantic Telehealth Resource Center PO Box 800711 Charlottesville,
More informationTransforming Rural Emergency Care with Telehealth #207, February 22, 2017 Brian Skow, MD, FACEP, Chief Medical Officer, Avera ecare Jason Wickersham,
Transforming Rural Emergency Care with Telehealth #207, February 22, 2017 Brian Skow, MD, FACEP, Chief Medical Officer, Avera ecare Jason Wickersham, MD, Family Practice Physician, Avera St. Benedict 1
More informationUsing Telemedicine to Enhance Meaningful Use Qualification
Beth DeStasio Director, Regulatory Affairs & Strategy, REACH Health September 2014 Copyright 2014 REACH Health, Inc. All rights Reserved Key Takeaways 1. As of September 4, 2014, the Center for Medicare
More informationTelemedicine & Telehealth
2014 NRTRC Telemedicine Conference Reaching Patients Far and Away: Telemedicine & Telehealth March 24, 2014 Jovanna McKinney Katherine Flynn, RN Yolanda Evans, MD MPH Disclosures Practice Gap: Lack of
More informationINVESTMENT PROPOSAL FOR A COMPUTED TOMOGRAPHY SCANNING SERVICE IN THE NORTH HIGHLANDS
INVESTMENT PROPOSAL FOR A COMPUTED TOMOGRAPHY SCANNING SERVICE IN THE NORTH HIGHLANDS Last Revised: 19 September 2006 1 CONTENTS Page 1 BACKGROUND 1 2 NATIONAL POSITION 2 3 HIGHLAND POSITION 3/4/5 4 REFERENCES
More informationOverview of Alaska s Hospitals and Nursing Homes. House HSS Committee March 1, 2012
Overview of Alaska s Hospitals and Nursing Homes House HSS Committee March 1, 2012 Alaska Hospital and Nursing Homes Testifying Today Fairbanks Memorial Hospital Mike Powers Central Peninsula Hospital
More informationAMGA 2013 ANNUAL CONFERENCE
AMGA 2013 ANNUAL CONFERENCE Mercy Medical Group, Inc. Interdependent Multi-specialty group in Sacramento, CA. Hospital Aligned since 1993 (group practice began 1940 s) > 320 Physicians/APC s 6 Departments
More informationHow Illinois Is Using Telemedicine to Improve Health Care Access in Rural Communities
Public Interest Law Reporter Volume 13 Issue 2 Spring 2008 Article 8 2008 How Illinois Is Using Telemedicine to Improve Health Care Access in Rural Communities Holly Carnell Follow this and additional
More informationBuilding a Successful Telemedicine Program
Building a Successful Telemedicine Program Part 1 Ronald S. Weinstein, MD Founding Director, Arizona Telemedicine Program First Telemedicine Case Massachusetts General Hospital April, 1968 Warren Street
More informationMARYLAND MEDICAID TELEHEALTH PROGRAM Telehealth Provider Manual
Telehealth Provider Manual Updated May 3, 2016 Table of Contents Table of Contents Scope Service Model Covered Services Program Eligibility Provider Registration Technical Requirements Reimbursement Confidentiality
More informationI. LIVE INTERACTIVE TELEDERMATOLOGY
Position Statement on Teledermatology (Approved by the Board of Directors: February 22, 2002; Amended by the Board of Directors: May 22, 2004; November 9, 2013; August 9, 2014; May 16, 2015; March 7, 2016)
More informationKPMG Digital Health Pulse April 2017
KPMG Digital Health Pulse 2017 April 2017 Research purpose and design To identify key perceptions about the pace of digital health adoption and key challenges to implementing virtual care programs at hospitals
More informationCreating Stroke Systems of Care Elyas Bakhtiari, for HealthLeaders Magazine, June 9, 2010
Creating Stroke Systems of Care Elyas Bakhtiari, for HealthLeaders Magazine, June 9, 2010 If U.S. healthcare is headed toward a model that eliminates fragmentation and emphasizes continuity and cooperation,
More informationReadiness Assessment Document for Acute Telestroke Collaboration (Sample. Checklist from OTN)
Readiness Assessment Document for Acute Telestroke Collaboration (Sample Checklist from OTN) Telestroke Referring Site Application This application should be completed in conjunction with your Regional/District
More informationATTENTION PROVIDERS. This bulletin does not supersede any provider enrollment requirements
EqualityCareNews MAY 2007 ATTENTION PROVIDERS This bulletin does not supersede any provider enrollment requirements CMS-1500 Bulletin 07-002 Wyoming Medicaid will pay for telehealth services that meet
More informationData Worksheet: Tele Behavioral Health Utilization / Veterans Services
Department of Health and Social Services DIVISION OF BEHAVIORAL HEALTH Director s Office 3601 C Street, Suite 878 Anchorage, Alaska 99503-5924 Main: 907.269.3600 Toll Free: 800.770.3930 Fax: 907.269.3623
More informationUPMC Telehealth Program. Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care
UPMC Telehealth Program Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care UPMC s Telehealth Expansion Pediatric Specialty Inpatient Dermatology Pre & Post Operative
More informationCLOSING THE TELEHEALTH GAP. A survey of healthcare providers on the barriers and opportunities to emerging delivery models
CLOSING THE TELEHEALTH GAP A survey of healthcare providers on the barriers and opportunities to emerging delivery models INTRODUCTION Since the Affordable Care Act was signed into law in 2010, more than
More informationA Solutions Road map for an Optimal Healthcare Experience.
A Solutions Road map for an Optimal Healthcare Experience. Lobby & Generate Revenue from a s First Impression A patient s first impression establishes the framework for a successful experience. Your hospital
More informationGrant Outcomes Report
August 2010 Page 1 of 9 Grant Outcomes Report Using Telemedicine to Diagnose and Treat Patients in Rural Upstate New York I. Executive Summary Patients who live in rural areas may be unable to get timely,
More informationThe Physician s Guide to Telemedicine in 2018
More Than A Great EHR The Physician s Guide to Telemedicine in 2018 The Physician s Guide to Adding Telemedicine to your Practice 2018 Bizmatics, Inc. Page 1 Table of Contents Introduction to Telemedicine...3
More informationMetabolic & Bariatric Surgery. Nate Sann, MSN, FNP-BC
Telemedicine in Metabolic & Bariatric Surgery Nate Sann, MSN, FNP-BC Disclosures: Apollo Endosurgery Faculty Member Exam Med Consultant Long term follow-up in Metabolic & Bariatric Surgery Obesity is a
More informationOklahoma Health Care Authority. Telemedicine
Oklahoma Health Care Authority Telemedicine Telemedicine Policy: OAC 317:30-3-27 Billing Technology 2 Telemedicine Applicability & Scope The purpose of the SoonerCare telemedicine is to improve access
More informationCorso di Informatica Medica
Università degli Studi di Trieste Corso di Laurea Magistrale in INGEGNERIA CLINICA CENNI DI TELEMEDICINA Corso di Informatica Medica Docente Sara Renata Francesca MARCEGLIA Dipartimento di Ingegneria e
More informationTelemedicine and Fair Market Value What You Need to Know
Telemedicine and Fair Market Value What You Need to Know By Chris W. David, CPA/ABV, ASA August, 2017 Telemedicine (also known as telehealth) is a rapidly-evolving trend in the healthcare delivery space
More informationTelehealth Reimbursement Policy in
Telehealth Reimbursement Policy in New York State Greater New York Hospital Association Telehealth Webinar Series July 11, 2016 July 2016 2 Agenda Telehealth NY State Telehealth Parity Statutory Changes
More informationTELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL
TELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL NOVEMBER 2017 CSHCN PROVIDER PROCEDURES MANUAL NOVEMBER 2017 TELECOMMUNICATION SERVICES Table of Contents 38.1 Enrollment......................................................................
More informationAN INTRODUCTION TO TELEPSYCHIATRY
AN INTRODUCTION TO TELEPSYCHIATRY Telemedicine, and specifically telepsychiatry, has been practiced in this country since at least the mid-1960s. In 1964, the Nebraska Psychiatric Institute received a
More informationDisclosures. Exploration of Telepharmacy: History of Telepharmacy 8/14/2014. Pharmacist and Technician Objectives
Disclosures Exploration of Telepharmacy: Bridging the Gap Melissa Badowski, PharmD, BCPS, AAHIVP Clinical Assistant Professor Illinois Department of Corrections HIV Telemedicine University of Illinois
More informationDeveloping a Game-Changing TeleHealth Strategy for Success
Developing a Game-Changing TeleHealth Strategy for Success April 14, 2015 Jay Backstrom & Jeff Jones DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not
More informationSpring User Conference May Sandestin, FL Detailed Agenda
Day One: Monday May 16, 2016 3 6 p.m. Conference Registration 5 6 p.m. Customer Welcome and Orientation for First-time Conference Attendees 6 8 p.m. Welcome Reception Day Two: Tuesday May 17, 2016 7 a.m.
More informationTelemedicine Guidance
Telemedicine Guidance GEORGIA DEPARTMENT OF COMMUNITY HEALTH DIVISION OF MEDICAID Revised: October 1, 2017 Policy Revisions Record Telemedicine Guidance 2017 REVISION DATE Oct. 1, 2017 SECTION REVISION
More informationTHE TELEMEDICINE MARKET LANDSCAPE
How Telehealth is Changing the Care Provided to Patients Anne Cadwell, The Permanente Medical Group THE TELEMEDICINE MARKET LANDSCAPE Approximately 1 million virtual doctor visits in the U.S. in 2015 1
More informationTelemedicine and Telehealth Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Telemedicine and Telehealth Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 8 P U B L I S H E D : J A N U A R Y 1
More informationOverview: Key Issues in Specialty Consultation Telemedicine Services
Overview: Key Issues in Specialty Consultation Telemedicine Services Written by: Marilyn Dahler Penticoff, RN Clinical Services Consultant gptrac Mary DeVany Director gptrac Specialty Consultation Telemedicine
More informationHANOI HUE HO CHI MINH CITY ABOUT HUE UNIVERSITY OF MEDICINE AND PHARMACY. 2 UNESCO World Culture Heritages
1 ABOUT HUE UNIVERSITY OF MEDICINE AND PHARMACY HANOI 2 UNESCO World Culture Heritages HUE HO CHI MINH CITY 06 Ngo Quyen St., Hue City, Vietnam Tel: +84.54.3.82.26.53 Fax: +84.54.3.82.62.69 Email: stir@huemed-univ.edu.vn
More informationThe Essential Care, Everywhere study provides new insight into Washington s rural communities, and their 42 hospitals.
Transforming the Delivery of Essential Care in Rural Communities Medical Design Forum AIA Seattle/AHP Medical Forum February 7, 2013 The Essential Care, Everywhere study provides new insight into Washington
More information19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA
TELE TODAY 19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA 877 707 7172 cchpca.org Mei Wa Kwong, JD Senior Policy Associate & Project Director DISCLAIMERS Any information
More informationIncorporating Telehealth in Advanced Practice Registered Nurse Curriculum to Impact Rural and Frontier Population Health
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationTeleAudiology: The Key to Serving Rural Populations
TeleAudiology: The Key to Serving Rural Populations EHDI Conference 2011, Atlanta, Georgia Cindy See, AuD Marshfield Clinic Elizabeth Seeliger, AuD Wisconsin Sound Beginnings Marshfield Clinic Project
More informationBahrain Botswana Egypt Ghana India Jordan Kuwait Mauritius Nigeria Qatar Saudi Arabia Thailand UAE
TELEHEALTH Prestige Blue Chip,# 9, 4th Floor, 3rd Block, Hosur Road, Near Dairy Circle, Bangalore - 560029 GYS Universal Plot No. - A 3,4,5, Sec. 125 Noida, UP - 201301 P O Box 73030, ED 22, Building 16,
More informationTelehealth: Using technology in the delivery of healthcare
Telehealth: Using technology in the delivery of healthcare Using Telemedicine to Treat Chronic Disease in Rural Communities "Rural Americans face a unique combination of factors that create disparities
More informationTELEMEDICINE IN AUSTRALIA
WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTE REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL REGIONAL COMMITTEE Fortyeighth session Sydney 2226 September
More informationMEDICAL POLICY No R2 TELEMEDICINE
Summary of Changes Clarifications: Page 1, Section I. A 6, additional language added for clarification. Deletions: Additions Page 4, Section IV, Description, additional language added in regards to telemedicine.
More informationOverview of the EHR Incentive Program Stage 2 Final Rule published August, 2012
I. Executive Summary and Overview (Pre-Publication Page 12) A. Executive Summary (Page 12) 1. Purpose of Regulatory Action (Page 12) a. Need for the Regulatory Action (Page 12) b. Legal Authority for the
More informationA Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012
A Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012 Introduction The Computer-Based Record Institute (CPRI) established the
More information2014 NRTRC Telemedicine Conference Telehealth Finances and Business Models for the Present and Future
2014 NRTRC Telemedicine Conference Telehealth Finances and Business Models for the Present and Future Jonathan Neufeld, PhD Upper Midwest Telehealth Resource Center March 22, 2014 Disclosures Practice
More informationChapter 7 Section 22.1
TRICARE Policy Manual 6010.57-M, February 1, 2008 Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 1.0 DESCRIPTION 1.1 refers to the use of information
More informationThe State of Health in Rural C olorado
Snapshot of Rural Health 2016 Edition The State of Health in Rural C olorado COLORADO ADDRESSING RURAL THE HEALTH ISSUES CENTER COLORADO S RURAL POPULATION RURAL WORKFORCE ACCESS TO CARE ADDRESSING THE
More informationAn Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
2015 An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State School of Public Health University at Albany, State University of New York
More informationWhy Telehealth, Why Now?
Promoting Access to Quality Care Through Technology and Innovation Why Telehealth, Why Now? Industry Webinar November 9, 2016 Panelists Bill Boling Owner/Principal Boling & Company bill@bolingandcompany.com
More informationThe California Telehealth Network:
The California Telehealth Network: A Resource to Support Innovation Thomas Nesbitt, M.D., M.P.H. Associate Vice Chancellor, Strategic Technologies and Alliances Director, Center for Health and Technology
More informationTelehealth in Peritoneal Dialysis Patient Management
Telehealth in Peritoneal Dialysis Patient Management Susie Lew, MD George Washington University March 3, 2018 Disclosures CareFirst Foundation: grant ACT/ The App Association: Steering committee member
More informationProject: Telemedicine Engaging Your Providers in Your Telehealth Development and Program
Project: Engaging Your Providers in Your Telehealth Development and Program Presented by: James Dunnick, MD, FACC, CHCQM, CPC, CMDP - The Dunnick Group, LLC Learning Outcome Standard: This program is based
More informationEXTENDED STAY PRIMARY CARE
EXTENDED STAY PRIMARY CARE Working with Frontier Communities to Design Facilities that Work June 2000 Supported in part by the Federal Office of Rural Health Policy HRSA, DHHS Frontier Education Center
More informationCorporate Reimbursement Policy Telehealth
Corporate Reimbursement Policy Telehealth File Name: Origination: Last Review Next Review: telehealth 11/1997 12/2017 12/2018 Description Telehealth is a potentially useful tool that, if employed appropriately,
More informationTELEHEALTH: THE FUTURE IS HERE!
TELEHEALTH: THE FUTURE IS HERE! OPPORTUNITIES FOR CAPTIVES, TRADITIONAL INSURERS AND RISK MANAGEMENT PROFESSIONALS Paul Greve, J.D., RPLU Executive Vice President Willlis Healthcare Practice Gary Leonard
More informationTelemedicine [t]he delivery of
38 Healthcare Law The Promise of Telemedicine Current Landscape and Future Directions By Dr. Kimberly Lovett Rockwell Telemedicine [t]he delivery of health care services, where distance is a critical factor...
More informationAcute/Subacute Area Overview/Statement of Problem
Acute/Subacute Area Overview/Statement of Problem Stroke is a medical emergency, and medical attention and specialized evaluation must be provided rapidly in order to minimize disability. Optimal stroke
More informationTELEHEALTH & BEHAVIORAL HEALTH
TELE & BEHAVIORAL NATIONAL COUNCIL FOR BEHAVIORAL INSTITUTE October 2, 2017 877-707-7172 cchpca.org Mei Wa Kwong, JD Policy Advisor & Project Director DISCLAIMERS Any information provided in today s talk
More informationAgency telemedicine rules are revised to clarify that telemedicine networks be approved at the OHCA's discretion to ensure medical necessity.
POLICY TRANSMITTAL NO. 11-35 April 18, 2011 HEALTH POLICY OKLAHOMA HEALTH CARE AUTHORITY TO: SUBJECT: STAFF LISTED MANUAL MATERIAL CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE OAC 317:30-3-27. EXPLANATION:
More informationTelehealth: Frequently Asked Questions
Telehealth: Frequently Asked Questions WHAT IS TELEHEALTH? Telehealth is the use of electronic information and telecommunications technology to support: THE DELIVERY OF HEALTH CARE PATIENT AND PROFESSIONAL
More informationTele Stroke ( Telemedicine in Practice)
Tele Stroke ( Telemedicine in Practice) Site Royal Surrey County Hospital East Surrey Hospital Frimley Park Hospital NHS Foundation Trust Ashford and St Peter's Hospital NHS Trust Epsom Hospital Surrey
More informationAligned TeleHealth, Inc. On-site Staffing & TelePsychiatry
Aligned TeleHealth, Inc. On-site Staffing & TelePsychiatry Aligned s History Dr. Nitin Nanda, P.C. Founded in 2000 Founded as a Private Psychiatry Practice in Los Angeles by Dr. Nitin Nanda upon Completing
More information12/11/2017 COPE WEBINAR SERIES FOR HEALTH PROFESSIONALS DID YOU USE YOUR PHONE TO ACCESS THE WEBINAR?
COPE WEBINAR SERIES FOR HEALTH PROFESSIONALS December 13, 2017 Exploring Telenutrition: Evidence, Operationalization and Opportunities Moderator: Lisa Diewald MS, RD, LDN Program Manager MacDonald Center
More informationExplain how the innovation works and why your organization chose this
Innovation Summary: The New York Presbyterian-Weill Cornell Medicine ED Telehealth Express Care Service uses telemedicine to rapidly evaluate patients who seek care at our Emergency Departments. While
More informationThe Telemedicine Train is Leaving the Station: Don t be left behind
The heart and science of medicine. UVMHealth.org The Telemedicine Train is Leaving the Station: Don t be left behind Prepared by Norman Ward MD, Chief Medical Officer, OneCare Vermont Natasha Wither, DO,
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT
COMMUNITY HEALTH NEEDS ASSESSMENT Approved June 23, 2016 Published June 28, 2016 Implementation Strategies: Approved October 27, 2016 Published, November 14, 2016 Jefferson Hospital Association, Inc.,
More informationLooking Ahead The Future of Health Information and Informatics
10 chapter ten Looking Ahead The Future of Health Information and Informatics Learning Outcomes At the end of this chapter, the student should be able to: 10.1 Compare information management to health
More informationThe MARYLAND HEALTH CARE COMMISSION
The MARYLAND HEALTH CARE COMMISSION Our Role The MHCC is responsible to advance a strong, flexible health IT ecosystem that can appropriately support clinical decision-making, reduce redundancy, enable
More informationTelemedicine in the Era of Population Health Management
Health Care IT Advisor Backgrounder Telemedicine in the Era of Population Health Management 2445 M Street NW Washington DC 20037 P 202.266.5600 F 202.266.5700 advisory.com March 10, 2014 14-007 2014 The
More informationWired to Save Lives: A Virtual Hospital Experience
Wired to Save Lives: A Virtual Hospital Experience Donald J. Kosiak, MD, MBA, FACEP, CPE Vice President for Medical Development Thursday, March 3 rd -- 11:30am Conflict of Interest Donald Kosiak, MD Has
More informationTelemedicine Privacy and Security: Safeguarding Protected Health Information and Minimizing Risks of Disclosure
Presenting a live 90-minute webinar with interactive Q&A Telemedicine Privacy and Security: Safeguarding Protected Health Information and Minimizing Risks of Disclosure THURSDAY, AUGUST 13, 2015 1pm Eastern
More informationAN ACT authorizing the provision of health care services through telemedicine and telehealth, and supplementing various parts of the statutory law.
Title. Subtitle. Chapter. Article. (New) Telemedicine and Telehealth - - C.:- to :- - C.0:D-k - C.:S- C.:-.w C.:-..h - Note (CORRECTED COPY) P.L.0, CHAPTER, approved July, 0 Senate Substitute for Senate
More informationTelehealth and Nutrition Law and Regulations Holistic Nutrition Coalition
1 Telehealth and Law and Regulations Holistic Coalition Telehealth There are different definitions of telemedicine or telehealth depending on state law. Generally, telehealth or telemedicine is defined
More informationChapter 7 Section 22.1
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationBest practices in healthcare
Best practices in healthcare The connected enterprise 2018 Charter Communications. All rights reserved. Not all products, pricing and services are available in all areas. Pricing and actual speeds may
More informationChapter 7 Section 22.1
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationTELEHEALTH INDEX: 2015 PHYSICIAN SURVEY
TELEHEALTH INDEX: 2015 PHYSICIAN SURVEY Overview Telehealth is accelerating in 2015. As many as 37% of hospital systems have at least one type of telemedicine solution to meet a variety of objectives,
More information